What This Bill Does · Plain English
Summary · Congress.gov
This bill limits the amount of coinsurance that may be assessed under Medicare for services performed in ambulatory surgical centers. Specifically, if the applicable coinsurance amount exceeds the inpatient hospital deductible, the Centers for Medicare & Medicaid Services must reduce the coinsurance amount so that it is equal to the amount of the deductible and pay the difference to the service provider.
Action Timeline
2025-04-24
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdicti
2025-04-24
Introduced in House
2025-04-24
Introduced in House
Frequently Asked Questions
Did HR.3006 pass?
HR.3006 is still alive. Current stage: COMMITTEE. Pass likelihood: pending.
What does HR.3006 do?
This bill limits the amount of coinsurance that may be assessed under Medicare for services performed in ambulatory surgical centers. Specifically, if the applicable coinsurance amount exceeds the inpatient hospital deductible, the Centers for Medicare & Medicaid Services must reduce the coinsurance amount so that it is equal to the amount of the deductible and pay the difference to the service provider.
Who sponsored HR.3006?
HR.3006 was sponsored by Mike Kelly (R-Pennsylvania).
Full Bill Text
119 HR 3006 IH: To amend title XVIII of the Social Security Act to limit the coinsurance amount for certain services furnished in an ambulatory surgical center. U.S. House of Representatives 2025-04-24 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. I 119th CONGRESS 1st Session H. R. 3006 IN THE HOUSE OF REPRESENTATIVES April 24, 2025 Mr. Kelly of Pennsylvania (for himself, Mr. Menendez , Mr. Balderson , and Mr. Larson of Connecticut ) introduced the following bill; which was referred to the Committee on Energy and Commerce , and in addition to the Committee on Ways and Means , for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned A BILL To amend title XVIII of the Social Security Act to limit the coinsurance amount for certain services furnished in an ambulatory surgical center. 1. Limitation on coinsurance amount (a) In general Section 1833 of the Social Security Act ( 42 U.S.C. 1395l ) is amended— (1) in subsection (a)(1)(G), by inserting subject to subsection (ee), before with respect to facility services ; and (2) by adding at the end the following new subsection: (ee) Limitation on coinsurance amount for certain services furnished in an ambulatory surgical center In the case that application of subsection (a)(1)(G) would result in the imposition of a coinsurance amount with respect to facility services described in such subsection furnished during a year with respect to a surgical procedure that exceeds the amount of the inpatient hospital deductible established under section 1813(b) for such year, the Secretary shall— (1) reduce the amount of such coinsurance to an amount equal to such deductible; and (2) pay to the supplier furnishing such services an amount equal to such reduction. . (b) Effective date The amendments made by this section shall apply to services furnished on or after January 1, 2026.
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